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SAN JOAOUIN <br />1 -COUNTY <br />GretartOSS <br />Environmental Health Department <br />Corrective Action Statement <br />RE: December 10, 2019, Hazardous Materials inspection report <br />For each violation listed below, indicate if the violation has been corrected or will be corrected by a certain date. Also, <br />describe what was done to correct the violation in the space provided below each violation. Submit this completed for <br />with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br />Robert Lopez at (209) 953-6214 or rlopez@sjgov.org. <br />Facility name: USG INTERIORS, LLC (LOOMIS) <br />Facility address 2575 Loomis Rd <br />CERS ID: 10182183 <br />PRO519821 <br />Submit completed form to: <br />SJC ENVIRONMENTAL HEALTH DEPARTMENT <br />ATTN: ROBERT LOPEZ <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Violation #5 - Failed to complete and/or submit hazardous materials inventory for all reportable materials <br />on site. <br />13 This violation was corrected D This violation will be corrected by (date): <br />IA Supporting documents included <br />Describe actions taken or will be taken to correct violation: Degreaser added to 2019 submittal See <br />page 2 of 7 of "Hazardous Materials And Wastes Inventory Matrix Report" under the title <br />"FLOOR CLEANER." Note: FLOOR CLEANER is the SM1 Degreaser. <br />Violation #6 - Failed to complete and/or submit a site map with all required content. <br />El This violation was corrected 0 This violation will be corrected by (date): <br />kl Supporting documents included <br />Describe actions taken or will be taken to correct violation: Internal Roads shown on "San Joaquin <br />County HMBP Map 1" as well as exit points. Floor Cleaner and Rollforming Lubricant a.k.a. <br />Metal Working Fluid is shown on drawing labeled "San Joaquin County HMBP Map 3 <br />Hazardous Materials." <br />Violation #10 - Failed to submit revisions to business plan within 30 days of substantial change in operations <br />kl This violation was corrected D This violation will be corrected by (date): <br />Li] Supporting documents included <br />Describe actions taken or will be taken to correct violation: Metal Working Fluid a.k.a Rollforming <br />Lubricant is updated on page 2 of 7 of the "Hazardous Materials and Wastes Inventory Matrix <br />Report." <br />Page 2 of 2 <br />Rev. 8/22/2019 <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 I F 209 464-0138 I www.sjcehd.com